Loading...
Loading...
Prior auth, gaps in care, reimbursement, and clinical guidelines are not model-only problems. They require the right operating workflows around the models.
ReasonHealth is the operating workflow.
AI has made it faster to generate code, mappings, summaries, and clinical content. But in healthcare, fast generation without verified, traceable outputs creates risk — not value. The bottleneck has moved from creation to governance. It shows up in four places:
AI-generated clinical content has no traceable proof it’s correct. Without deterministic verification, “the model said so” is not governance — it’s risk.
Deterministic checks run before any human review, so trust is repeatable.
We help healthcare teams build the operating layer that makes intelligence safe: structured expert knowledge, deterministic verification, and standards-aligned artifacts — so the model becomes interchangeable and trust becomes repeatable.
Cheaper, better models don't threaten this. They make generation nearly free — and move all the value to verification.
Any model generates a draft. The starting point is the expert workflow, not the model.
Deterministic services check against clinical standards: terminology, FHIR validation, schema, traceability.
A frontier model or human reviews only when risk warrants it. Trust is earned through structure.
CMS is moving prior authorization and coverage logic from prose to FHIR — machine-readable, auditable, and standards-conformant. The same operating layer that makes intelligence safe is becoming a federal requirement with a deadline.
Structure your knowledge for clinical excellence, and the compliance layer is largely already built.
FHIR-based Prior Authorization, Patient, Provider, and Payer-to-Payer APIs — built on HL7 Da Vinci.
Extends prior auth to drugs and moves recommended FHIR guides toward required HIPAA standards.
Clinical knowledge platform
Terminology intelligence, FHIR artifact lifecycle, and model-agnostic clinical knowledge services. Search, validate, and expand SNOMED, LOINC, RxNorm, ICD-10, and UCUM. Accessible as a hosted MCP server, REST API, and agent skills.
Clinical terminology search, crossmapping, ValueSet and ConceptMap authoring for any AI harness.
open-sourceGuidelines to computable FHIR/CQL artifacts: quality measures, decision support rules, PA policies.
open-sourceFHIR API design, modeling, compliance review, and documentation for healthcare engineering teams.
open-sourceOpen source FHIR toolkit. FHIRPath, FSH, CQL, validation, and packaging — designed for CI/CD.
Sign up for ReasonHealth Hub to access clinical terminology, artifact workflows, and the MCP server — immediately.
Try ReasonHealth HubInstall ReasonHealth Skills or rh and connect them to your existing AI harness. No sign-up required.
Explore on GitHubVermonster, the team behind reason.health, offers consulting engagements — from a one-week bottleneck workshop to full product delivery.
Talk to the teamVermonster is a healthcare technology company that combines product engineering, clinical informatics, and deep FHIR/CQL/terminology expertise. We built ReasonHealth because we kept seeing the same problem: teams with capable models but without the workflow infrastructure to use them safely.
We don't leave behind a report. We leave behind working systems, trained teams, and computable assets your organization can operate and extend.
Expertise